Apparatus for practice of duodenal drainage



March 4, l 930.

O. B. SCHELLBERG APPARATUS FOR PRACTICE OF DUODENAL DRAINAGE Filed Feb. 4, 1929 2 Sheets-Sheet l Oscar' B. ScLeZZbefy bis @1MM/naaf @MJ-mmm@ March 4,l 1930. o. B. scHELLBERG 1,749,089

APPARATUS FOR PRACTICE OF DUODENAL DRAINAGE Filed Feb. 4, 1929 2 Sheets-Sheet 2 Patented Mar.v 4, 1930 STATES., PATENT oFFlcE l @SGAR toro SGH-Esterna 'QF NEW YORK, N. Y.

` ArrARATUs-FQR PRAQUQE 0F DUQDENAL DRMNAGE,

Application filed February 4, 1929. Serial No.- 337,252.

y `v Among the principal-objects which the presentinvention has` in view are: vto, pro-y vvide an apparatus constructed andarranged orthe treatment and irrigationof'the 111-. testlnal regionabove vthe colon; to provide an' apparatus'of this character ywherein the affected regions `may be reachedby'injec- "tions of medicatedliquids vand cultures for j the plantingof bacteria, by gravitational action; toprovide in'an apparatus 'of this character' meansv or Siphon vdrainage of the i 'aectedgregions 'and generally to providea novelI and improved apparatus .of this charaeterfot a portable and readily adjustable` type; and to provide `a table for supporting thepatient'which is'so'forrned that oneend thereof will be hinged lat a, point adjacent' the center of the table andi arranged to incline `downwardl'y Vfrom "the center towards its'outer end,kwhereby the medicated liquid gravitates and drains from the bodyfwithout up andaccumulating in the stomach.

,t Prawiws Eigure 1 is aside elevation ofa receiving y ,table constructed in "accordance withy the principles of the invention and illustrating Y, theaapproxiinate position yof Vassociated me-L `dicamentcontainers, and showing 1n dotted t theline 2-1-2 of Figure 1';

` tlsontainer oevers., i

lineszthe hinged end of the table in lowered position. y, ,i

Figurey 2 isa section through I the table on Figure 3p is a section throughv another por-f l tiara-Oi the table on the une 3T3 Of E@ yluxe-1, t f t o w-Figuret isA top plan viewof .the control valve'and tube connections for admitting or withdrawing liquidato the intestinal regions. to be acted upon- Vlll-'gaine'5 is a side elvaten, partlyv in; section; of the. mechanism [shown nfEigure 4;

Figure 6 is a tragmentary .sectiony ofthe .tony one of the inedicementfamtainers:illus` trated in. Figure Figure 7 is a bottom yplan view of lone of lathe treatment@ disorders@ the .et

ach, duodenum, gall bladder and alimentary canal, it is possible by utilizing the present apparatus, to plant bacteria and irrigate the affected regions by the injections of medicatedl liquids and cultures. However, in order to obtain access to the intestinal tract above the colon,`it is necessary to resort to gravitational -action and lto this end7 .1 have devised an apparatus, one embodiment of which isherewith illustrated `for such treatment.

f The main feature of my invention is to provide a recliningtable 10, with one end hinged so thatitmay be quickly and readily inclined downwardly and to support a pa'- tient face upward with'the buttocks resting upon parallel spaced pads 11 on opposite sides of the table at its center so that the head of the patient will be considerably lower than the colonic tract. The table is supported upon standards 12 disposedvat the foot andcenter thereof as disclosed in Fig ure 1. The forward or torso receiving por-r with'its pad 14 may be inclined from a horio,

zontal position as indicated in dotted lines in Figure 1 and retained in the desired adjusted position to incline the torso ofthe patientin a downward direction whereby the gravitational action can be taken advantage of, substantially dividing the alimen.- tary canal in two sections and leaving the colon and lower intestines in a horizontal position, Y l

' A bracket 20 carried by the ferward table, standard 18 carries a series ofhorizontal rivotallyconneoted bracket Sections 21. which terminate in a Section 22 which carries at its upper end a tour-Way Pire connection 2 ,liarinstlireeintake, branches 2t,

ing and carry' a sector 35 extending therebetween over which a pointer 36 'attached to the valve plug is adapted to kmove for indicating various positions of the valve. The body of the valve plug is provided with four radially .extending bores 37, 38, 39 and40 which meet at the center ofj theplug andv which are mutually angled relative to one another so that upon rotationof the valve plug, communication may be established between the extension 29 and either of the conduits 33 and'34 at one time, or between the conduits 33 and 34 at another.- The conduit 33- has connected to the end thereof a relatitvely long depending flexible tube having a O'lass section 41, which is adapted. to hang below the lowermost position assumedlby the body of a patient upon the table. rIhe other of `the conduits 34 is connected Vwith a long flexible tube having a glass section 42,

` adapted for introduction finto the stomach by swallowing as in the ordinary vapplication y of a stomach pump.

Arranged above the head of the table upon suitable supporting brackets 43 area pluralityof graduated glass containers, in the present instance 'three in number as shown at 44, 45 and 46. .These containers are con-y nected to the pipe extensions 24, 25 and 26 of the fourfway connector 23.l The flow of liquid from the containers to the four-way connection 23 is controlled through the medium'of the valves 47, 48 and 49, whereby any suitable mixture of the liquids from the con-I tainers or any single liquid, may be passed through the valve 30. i l

f Each of thecontainers, as best-illustrated Y in Figures 6 and 7 Ais equipped with a flared top closed by a circular flanged cover plate to the underv face of which ris attached a plurality of spring clamping iingersl wherebythe cover plate is securely held over the topof the container. The cover plate is ,centrally apertured to receive therethrough an' electric light bulb 52 extending from a switch socket 53 supported on the plate, -whereby the light is utilized to enable clear reading of the graduations uponthe containerand theheat of the lampis utilized for heating the liquid contained therein:v

Suspended from the under face of thecover plate 50 is al thermometer 53 and extending through the. cover plateat one side of the lamp socket is a funnel y55 through. which the containers may be filled from time to time. i

Supported underneath the center of the table -10 beneath the pads ll is a drainage Y withr adrainage neck having connectionV '75 withv a drainage valvedl attached tothe lower endthereof. Y l

stomach, the forward p'art"13 of the table is inclined downwardly as shown-in dotted lines in Figure l and. upon manipulation of the valve 3ltogether withthe-'valves lead- With, theY injector tube ,entered into the ing from the containers, the 'liquid to bek Y injected will flow by gravity to treat-the affected region by reason of thedownward inclination ofthe body-of the patient. When it is desired'to removethetreating liquid Vfromthe intestinal tract, the valves leading from the containers are closedandgthe valve 3ly manipulate through the valve between the tube 42 `and the tube 4l.' By Yreason ofthe fact that the tube 4l has its terminal disposedfbelow' the bcdyof the patient, a head of liquidV will be set up in -the'tube 41V establishing a` Siphon action which will completely evacuateV the liquid. e n

I claim: y

1. Ina duodenal drainage apparatus, a i' i' y patient supporting table',rmea`ns forinclining the forward'portion-of said table downwardly,.a. swingingbracket carried by said table, a valve supported in said bracket, means for supplying a flow ofV medicated liquid through said valve, means associated with to establishy communication Y said valve for intestinal injection of liquids passed therethrough" into the vbody of a patient disposed on said table, the forward portion of said table being hinged-to incline Vbelow theV horizontal, a screw secured tothe hingedportion for lowering. the same to sezrio l cure gravitational flow of the liquids in the, "i

intestines,*and means controlled by said valve "i for evacuation of tines. Y y y 2; In a duodenal drainage Aap'pa'ratus,2a table, a bracket carried by said table, ,a'valve mounted in said bracket, means controlled by the liquid from the intessaid valve for intestinal injection of 'liquids' into the body of a patient disposed on said table, means for progressively inclining a portion of said table to.v cause gravitational flow of the liquid through portions ofthe intestines, and means controlled by `said valve for evacuating the liquid from the intestinesi 3. InY a duodenal drainage apparatus, a?

table, a bracket carried bysaid table, a valve supported in said bracket, means for supply-V ing a flow of medicated liquid to said valve,

means controlled bysaid valver for injecting` liquid passed thieugh said, valve inte the in;l

iso

f testines of ak patient disposed on said table, means on said table for effecting a step by step inclination of one end thereof to inclinev the body of the patient to promotelow of liquid in the intestines by gravity, and a means vcontrolled by said valvefor evacuating the n, liquid from the intestines.

f OSCAR BOT() SCHELLBERG. 

